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Positive Recognition Form

Wraparound Milwaukee - Children's Community Mental Health Services

To be completed by an individual who would like to acknowledge/recognize a youth, parent/caregiver, service provider, agency, etc. within the Wraparound Milwaukee System of Care. If you need help completing this form, please call the Quality Assurance Department at (414) 257-7600, option 1. Please fill out this form completely. Thank you! 

Your Info

*What is your relationship to our program?

 

Their Info

*What is their relationship to our program?

 

Recognition Info

*We would like to share this information with the Person/Agency you are recognizing. Do we have your approval to do so?

MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES

1220 W. Vliet St.

Suite 301

Milwaukee, Wisconsin 53205

Our Vision

Together, creating healthy communities.

Our Mission

Empowering safe, healthy, meaningful lives.

Our Values

Partnership, Respect, Integrity, 

Diversity, Excellence

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